Other infectious mononucleosis with polyneuropathy is a condition characterized by the presence of infectious mononucleosis symptoms, such as fever and lymphadenopathy, accompanied by polyneuropathy. This condition can arise from various viral infections, notably Epstein-Barr virus (EBV). Accurate coding with ICD-10 Code B27.81 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.
What is ICD-10 Code B27.81 for Other infectious mononucleosis with polyneuropathy?
ICD-10 Code B27.81 represents Other infectious mononucleosis with polyneuropathy, a condition that occurs when infectious mononucleosis, typically caused by EBV, leads to neurological complications such as polyneuropathy. This code should be used in clinical documentation and billing when a patient presents with symptoms of mononucleosis alongside neurological deficits, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.
ICD-10 Code B27.81 – Clinical Definition and Explanation of Other infectious mononucleosis with polyneuropathy
Other infectious mononucleosis with polyneuropathy is primarily caused by viral infections, particularly Epstein-Barr virus. The condition can progress to involve multiple peripheral nerves, leading to significant morbidity. Prompt medical attention is necessary to manage symptoms and prevent complications.
Key Clinical Features:
- Fever and fatigue associated with infectious mononucleosis.
- Lymphadenopathy and splenomegaly.
- Neurological symptoms such as weakness, numbness, or tingling.
- Elevated liver enzymes indicating hepatic involvement.
ICD-10 Code B27.81 for Other infectious mononucleosis with polyneuropathy – SOAP Notes & Clinical Use
ICD-10 Code B27.81 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. It is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and facilitating appropriate management strategies.
What Does ICD-10 Code B27.81 for Other infectious mononucleosis with polyneuropathy Mean in SOAP Notes?
In SOAP notes, ICD-10 Code B27.81 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Other infectious mononucleosis with polyneuropathy. This code is crucial for ensuring continuity of care, supporting billing processes, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code B27.81 – Other infectious mononucleosis with polyneuropathy
Management of Other infectious mononucleosis with polyneuropathy requires a multifaceted approach, including symptomatic treatment and monitoring for complications.
Antibiotic Therapy:
- Antibiotics are not typically indicated unless a secondary bacterial infection is present.
- Supportive care is the primary treatment focus.
Supportive Care:
- Rest and hydration to support recovery.
- Pain management with NSAIDs or acetaminophen.
- Physical therapy for neurological symptoms as needed.
Infection Control:
- Standard precautions to prevent the spread of infection.
- Patient education on hygiene practices.
How to Document Symptoms of Other infectious mononucleosis with polyneuropathy (ICD-10 B27.81) in SOAP Notes
Subjective:
- Patient reports persistent fatigue and fever for two weeks.
- Complaints of numbness and tingling in the extremities.
- History of recent upper respiratory infection.
- Denies any recent travel or exposure to sick contacts.
Objective:
- Vital signs: Temperature 101°F, HR 88 bpm, BP 120/80 mmHg.
- Physical exam reveals cervical lymphadenopathy.
- Neurological exam shows decreased sensation in distal extremities.
- Laboratory tests indicate elevated liver enzymes.
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SOAP Note Guidelines for Diagnosing Other infectious mononucleosis with polyneuropathy (ICD-10 Code B27.81)
Assessment:
- Diagnosis: Other infectious mononucleosis with polyneuropathy, moderate severity.
- ICD-10 Code: B27.81.
- Contributing factors: Recent viral infection, possible EBV involvement.
- Monitor for progression of neurological symptoms.
Plan:
- Symptomatic treatment with NSAIDs for pain relief.
- Encourage rest and hydration.
- Referral to neurology for further evaluation of polyneuropathy.
- Follow-up in one week to reassess symptoms.
Treatment & Plan Section for ICD-10 Code B27.81 – Other infectious mononucleosis with polyneuropathy
- Consider corticosteroids if severe symptoms persist.
- Educate patient on the importance of rest and hydration.
- Monitor liver function tests and neurological symptoms regularly.
- Schedule follow-up appointments to assess recovery and adjust treatment as necessary.
Using ICD-10 Code B27.81 for Other infectious mononucleosis with polyneuropathy in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
- Use the code in conjunction with relevant CPT codes for laboratory tests and consultations.
- Document treatment plans that align with clinical guidelines to support justified billing.
- Review coding updates regularly to maintain compliance.
Related ICD-10 Codes Often Used with Other infectious mononucleosis with polyneuropathy
- B19.20 – Chronic viral hepatitis, unspecified
ICD-10 Code B27.81 in Medical Billing and Insurance for Other infectious mononucleosis with polyneuropathy
ICD-10 Code B27.81 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant clinical findings and patient history to support the use of this code.
- Ensure that the code is used in appropriate settings, such as inpatient or outpatient care.
- Include key elements in the chart, such as symptom duration and treatment response.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, moderate complexity. |
| 80053 | Comprehensive metabolic panel. |
| 99232 | Subsequent hospital care, moderate complexity. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code B27.81 for Other infectious mononucleosis with polyneuropathy
What are the common symptoms of Other infectious mononucleosis with polyneuropathy?
Common symptoms include fever, fatigue, lymphadenopathy, and neurological manifestations such as weakness or numbness in the extremities. These symptoms may vary in severity and duration.
When should ICD-10 Code B27.81 be used?
This code should be used when a patient presents with symptoms of infectious mononucleosis along with neurological complications, ensuring accurate documentation for diagnosis and billing.
Is hospitalization required for Other infectious mononucleosis with polyneuropathy?
Hospitalization may be necessary for severe cases, particularly if neurological symptoms are pronounced or if the patient requires close monitoring and supportive care.
What is the typical treatment for this condition?
Treatment primarily involves supportive care, including rest, hydration, and pain management. Antibiotics are not indicated unless a secondary infection is present.
